Upper Endoscopy With Ultrasound-Guided Biopsy

Wyoming rates for HCPCS 43242

A flexible camera is passed through the mouth into the food pipe, stomach and first part of the small intestine, with an ultrasound probe on its tip that sees through the gut wall into nearby organs such as the pancreas, bile duct and lymph nodes. A fine needle is then passed through the wall under ultrasound guidance to take samples from a lump or gland. The ultrasound survey covers the full upper tract rather than one area alone.

Rates data updated July 2026.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,288 to $5,623

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
United Setting Facility Modifier Global Typical Low $1,288.25 Median $3,890.45 Typical High $5,623.41	Facility	Global	$1,288.25	$3,890.45	$5,623.41